| NPI | 1184270886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE FRANK MORTON CEO/President 478-361-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2019-08-18 |