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 |