| NPI | 1295405884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA KHOUIE Clinical Director 833-903-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2023-04-05 |