| NPI | 1730999335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MINNEFIELD Executive Director 251-307-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-09 |