| NPI | 1164115952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAWFORD BREEDLOVE CEO 225-802-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |