| NPI | 1528772993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAHAN OGANESYAN COO 833-224-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |