| NPI | 1326172412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM EISSINGER CEO 017-952-5187 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2021-02-18 |