| NPI | 1487361358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETLY CLEOPHAS Executive Director 754-303-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 282J00000X Religious Nonmedical Health Care Institution |
| 174200000X | |
| 251300000X Local Education Agency (LEA) | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |