NPI | 1548769797 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET MARIE SOSELY Ar Manager 862-260-9460 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2018-02-02 |
Last Update Date | 2018-02-02 |