NPI | 1235014903 |
---|---|
Entity Type | Organization |
Authorized Contact | IJENNA ALUKO CEO 888-479-8006 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
251S00000X Community/Behavioral Health | |
252Y00000X Early Intervention Provider Agency | |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2025-08-11 |
Last Update Date | 2025-08-11 |