| NPI | 1730413683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KOBLA TETTEYCAMBRIDGE President 571-294-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |