| NPI | 1578986741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAHONEY ANDERSON Director Of Social Services 339-927-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 313068) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MA 313068) |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: MA 313068) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 313068) | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |