| NPI | 1467150391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANICA D BRAMWELL Owner 862-384-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |