| NPI | 1427545821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRUDENCIA DEBA C.E.O. 346-400-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |