| NPI | 1871443895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MESFIN WOLDEGIORGIS Director 980-785-8578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-01-29 |