| NPI | 1255258547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN AMATU Program Manager 346-430-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-06-30 |
| Last Update Date | 2026-07-04 |