| NPI | 1699826750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WALLIS Senior Vice President 537-334-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |