| NPI | 1184439895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY K SANNI Director 980-248-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2026-01-21 |