| NPI | 1104637362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENEST DUNBAR Director/Owner 267-366-7897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-07-08 |