| NPI | 1164740734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM SLATTERY CEO 1800-275-3766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: SD 2385) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |