| NPI | 1881822971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LACY CEO 870-818-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |