| NPI | 1386654648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE M HAMILTON Program Director 251-342-4931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 000264) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |