| NPI | 1104478742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ANNE WINGATE Treasurer & CFO 844-422-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2019-07-14 |