| NPI | 1528283678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP D HESS CEO 800-932-0359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2018-07-27 |