| NPI | 1497296651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHARLTON President 8288-319-8123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |