NPI | 1356825640 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER CRYTZER Owner 304-743-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2018-09-21 |
Last Update Date | 2020-06-23 |