| NPI | 1003290107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA N PEAK Owner/Executive Director 609-614-7495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1-15-18265) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: CO 1-15-18265) |
| 253Z00000X In Home Supportive Care (Licence: CO 1-15-18265) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2022-03-09 |