NPI | 1265047534 |
---|---|
Former Legal Business Name | COMPASSION STRUCTURED LIVING CENTER LLC |
Entity Type | Organization |
Authorized Contact | EILEEN E OGBONNAYA Program Director 346-803-9647 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2020-09-13 |
Last Update Date | 2021-03-03 |