| NPI | 1164938049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYZIA EASTERLING Executive Director 267-444-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |