| NPI | 1487004057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENIKA BYRD Owner/Cordinator 754-244-7051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 101Y00000X Counselor |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |