NPI | 1861650897 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS JOHNSON Director Of Operations 800-344-6423 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD 15772) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2008-05-27 |