NPI | 1215641436 |
---|---|
Entity Type | Organization |
Authorized Contact | ZYIKIA IVERY Founder 267-338-2217 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2023-01-11 |
Last Update Date | 2023-01-11 |