NPI | 1114741121 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMARA PRATT Owner 346-243-1212 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
251B00000X Case Management | |
Enumeration Date | 2024-11-15 |
Last Update Date | 2025-07-17 |