| NPI | 1720721707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA TODD Operations Business Manager 800-299-5161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |