| NPI | 1598403214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDRENE FREELAND Chief Executive Officer 866-228-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |