| NPI | 1245690866 |
|---|---|
| Doing Business As | NORTHCREST GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | JOHN B PEAKES President 830-372-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |