| NPI | 1578480737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANISHA HUNTER Owner 469-900-7928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-06-30 |
| Last Update Date | 2026-08-11 |