NPI | 1770786410 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMEN B AVINO General Nurse Supervisor 1787-786-3620 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: PR 15500) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2008-09-30 |