| NPI | 1366027237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SAUNDERS Executive Director 302-279-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-04-05 |