| NPI | 1235943176 |
|---|---|
| Doing Business As | WOODLAWN PRTF SANDERS |
| Entity Type | Organization |
| Authorized Contact | SHARON C' DE BACA Executive Assistant To The Presiden 502-538-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |