NPI | 1144512468 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL PARKER Billing / Enrollment Spec 850-512-9166 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2011-05-04 |
Last Update Date | 2024-05-07 |