| NPI | 1467117614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUSUDEEN G AKANBI Director 551-312-8522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |