| NPI | 1811915770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D HOSTLER Chief Financial Officer 5123-751-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-08-05 |