NPI | 1437210903 |
---|---|
Doing Business As | PARK PLACE RCF-PMI |
Entity Type | Organization |
Authorized Contact | CHARLES A SMITH Administrator 712-243-1213 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IA RPMI-655) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-08-22 |