| NPI | 1346018470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERHANE SHEFERAW Director/Owner 862-224-5871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |