| NPI | 1225426083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE SAFO Owner 571-331-8483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |