| NPI | 1760777221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MICHAEL CECIL Executive/Clinical Director 885-861-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 18054) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |