| NPI | 1396071429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARINZE JOSEPH NWAFOR Administrator 731-449-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-10-24 |
| Last Update Date | 2009-10-24 |