NPI | 1295881662 |
---|---|
Other Name | PRAIRIE VIEW, INC-SED WAIVER |
Entity Type | Organization |
Authorized Contact | JESSIE KAYE CEO 3162-846-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2007-01-26 |
Last Update Date | 2025-09-11 |