| NPI | 1366135071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILA HUFF Administrator/Owner 191-072-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |