| NPI | 1952582751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH S. DUGGER Director 1804-748-1857 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |