| NPI | 1417738022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE BAILEY CEO 267-966-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |