| NPI | 1477975936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BROWN CEO 251-370-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |