| NPI | 1881237550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH O CARTER C.E.O 346-907-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |