| NPI | 1225281975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 040905) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-03-05 |