| NPI | 1437807773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ROESLER Founder/Owner 267-987-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2023-01-05 |