| NPI | 1740937309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE HINNANT CEO 267-408-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |