| NPI | 1730809849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENDRIDA MCGLOWN CEO 980-920-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |