| NPI | 1609530203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUITA ARTERBERRY CEO 866-848-1407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |