| NPI | 1063163178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANN PHILLIPS Director 304-823-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-02-15 |