| NPI | 1295616282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY RISPRESS Executive Director/Administrator 380-232-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |