| NPI | 1235829789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIOLA OGUNTAYO OGUNDOKUN CEO/Executive Director 315-641-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-10 |