| NPI | 1801716121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIAMOND BOONE Founder/ Administrator 857-320-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-07-17 |
| Last Update Date | 2026-07-17 |