| NPI | 1538038856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE BENDER Owner 862-215-1674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |