| NPI | 1700958022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SLACK VP For Marketing And Business Devel 800-854-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ME 216402) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-07-18 |