| NPI | 1144091679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EDEWOR C.E.O. 346-515-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-06-28 |