| NPI | 1457187346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY BANGURA Program Manager 346-978-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |