| NPI | 1285409748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZEEZ AGBAJE President 929-331-7694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |