| NPI | 1427997444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN WHITTENBURG Member 980-250-2931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-03-26 |