| NPI | 1083831556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LEE HARRIS Psychosocial Rehabilitation Special 1208-267-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |