NPI | 1821461625 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT W ROGERS Cf AO 302-777-9754 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2015-11-03 |
Last Update Date | 2015-11-03 |