| NPI | 1871066365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI HOOPER Financial Director 866-678-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |