| NPI | 1629113410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SLACK VP For Marketing And Business Devel 800-854-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 243720) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |