NPI | 1881279172 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI HACKETT Owner 661-317-9027 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-03-17 |
Last Update Date | 2021-03-17 |