| NPI | 1528360799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY NEDENE DUFFUS President 754-214-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |