| NPI | 1699826750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WALLIS Senior Vice President 537-334-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-09-11 |