| NPI | 1831397645 |
|---|---|
| Former Legal Business Name | CAMELOT CARE CENTERS, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER SPANN Director Of Accounts 161-553-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-11-28 |