| NPI | 1497114599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAWA UMU JALLOH Owner / CEO 914-318-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |