| NPI | 1902486392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY MCGEE Owner 346-901-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2021-04-10 |