| NPI | 1558827147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRLENE DESPEINE CEO 848-213-3374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |