| NPI | 1225750938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAKINA DEAN Owner/CEO/Director 267-815-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |