NPI | 1285980797 |
---|---|
Entity Type | Organization |
Authorized Contact | GERI WILCOX Finance Manager 800-258-1770 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MA 9006463) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2012-08-02 |