NPI | 1740245117 |
---|---|
Doing Business As | JEFFERSON TRAIL TREATMENT CENTER FOR CHILDREN |
Entity Type | Organization |
Authorized Contact | SARA CROWLEY Business Office Director 800-777-8855 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: VA 63014001) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2010-09-08 |