NPI | 1558132134 |
---|---|
Entity Type | Organization |
Authorized Contact | NAKESHA BARBER Owner 267-815-4132 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-01-11 |
Last Update Date | 2024-01-11 |