| NPI | 1518677293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RWIRANGIRA Employee 904-999-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |