| NPI | 1740451384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: ND 000030842) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2023-04-22 |