| NPI | 1053038380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSMAS ASHU CEO 641-980-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-02-01 |