| NPI | 1467060731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE LINARES VP Of Compliance 888-700-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-11-09 |