NPI | 1649767062 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2018-04-20 |
Last Update Date | 2023-04-20 |