| NPI | 1053134650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA LAW Program Director 725-310-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |