| NPI | 1427581453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN CRATCH President 862-263-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2021-07-08 |