NPI | 1548928302 |
---|---|
Entity Type | Organization |
Authorized Contact | EMMANUEL SIMBATOHANA Program Director 325-262-2506 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-11-29 |
Last Update Date | 2021-11-29 |