| NPI | 1134837073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAAME GYASIWAH OSEI BRANTUO RN 571-343-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |