| NPI | 1154071728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUMACHA AGHENEZA C.E.O 857-237-1723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2025-01-30 |