| NPI | 1841362167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SLACK VP For Marketing And Business Devel 800-854-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 208140) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 206610) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 212140) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 207350) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 207280) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 221160) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-11-25 |