| NPI | 1346385739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SLACK COO 800-854-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: PA 352310) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: PA 352300) |
| 253J00000X Foster Care Agency (Licence: PA 316050) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-07-21 |