| NPI | 1801602438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK CLANCY MCKEAGE Woc Director 906-789-7362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |