| 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 |