| NPI | 1659138840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYLES National Director Of Ar 267-637-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |