| NPI | 1174891584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ROBERTS KAUFMAN CEO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2024-01-23 |