| NPI | 1043197296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA BOSUNGMEH ACHIRINDALLE Owner 405-889-6273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |