| NPI | 1629815493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBINSON CEO 567-868-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |