| NPI | 1538040753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKESHA NORMAN CEO 872-306-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |