| NPI | 1841610441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINE ARW REESE Owner 251-583-6471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |