NPI | 1639642903 |
---|---|
Entity Type | Organization |
Authorized Contact | ORLENE CUMMINGS President 862-763-2144 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-01-09 |
Last Update Date | 2019-01-09 |