| NPI | 1275960940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD BRANSTETTER CFO 800-990-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2014-02-26 |