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 |