NPI | 1942008859 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY LATRICE SCOTT CEO 870-489-7918 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 385H00000X Respite Care |
Enumeration Date | 2025-03-05 |
Last Update Date | 2025-03-05 |