NPI | 1215491618 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL BURTON HAYNES Director Of Finance 789-544-2920 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2019-01-30 |
Last Update Date | 2019-01-30 |