| NPI | 1437394509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. SLACK VP For Marketing & Business Develop 800-854-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: PA 207080) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: PA 206950) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |