| NPI | 1144813262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEETA BOYCE Owner 980-989-3948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |