| NPI | 1417017351 |
|---|---|
| Other Name | HIDDEN LAKE I |
| Entity Type | Organization |
| Authorized Contact | EMILY BETH TYLER CFO 478-752-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |