| NPI | 1427418383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAL SEREBRYANY CEO 747-300-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2020-07-29 |