| NPI | 1376150391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROISE AGOSSE President/Administrator 888-803-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2024-08-13 |