| NPI | 1508512260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMAH RITA EGBE CEO 346-779-7854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2023-02-01 |