| NPI | 1497159420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETHEA WRIGHT Executive Director 267-278-0105 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |