| NPI | 1871223222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSETTE RAE CEO 800-682-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-06-25 |