| NPI | 1548006216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO AMADOR RAMIREZ Owner 509-713-9462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |