| NPI | 1952616591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE HATCH Executive Director 877-804-2014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |