| NPI | 1891395869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE LA'NEA SHAMBURGER Owner 844-447-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |