NPI | 1851858617 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMI GILLMORE Chief Financial Officer 193-640-2593 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2019-02-27 |
Last Update Date | 2019-02-27 |