| NPI | 1558225201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA AGEE Owner/Ed 251-392-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |