| NPI | 1629878582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA JONES CEO 424-375-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |