| NPI | 1497081541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI C ANEKPO Director 302-437-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-28 |