| NPI | 1760894745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMITE GALETTE Owner 772-214-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |