| NPI | 1528353695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALKISSOU YOUSIFFOU President 302-397-7061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2019-11-18 |