| NPI | 1801545850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX ROGER MATTHEWS Partner 855-755-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |