| NPI | 1114600566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYLES National Director Of Ar 267-637-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |