| NPI | 1760889034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRINE WOODMAN Quality Assurance Specialist 800-657-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NE 1355) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |