| NPI | 1851660781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SMITH CEO 228-217-6329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |