| NPI | 1386488336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWESIWA QUAISON-SACKEY Manager 984-888-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 305S00000X Point of Service | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |