| NPI | 1003496076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLABAMIJI KAZEEM ABIMBOLA President 401-365-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |