| NPI | 1437534559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA TODD Corporate Office & Project Manager 800-299-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2022-04-26 |