NPI | 1780844027 |
---|---|
Entity Type | Organization |
Authorized Contact | SIBONGINKOSI OSEI Owner 269-806-5459 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS390272314) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2008-06-10 |