| NPI | 1679306567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KEY Chief Executive Officer 980-248-7854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2026-02-03 |