| NPI | 1447076971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELINA JONES Administration 877-327-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2024-11-30 |