| NPI | 1528756343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELLI TIEAL GROSE-SMITH CEO 267-779-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |