| NPI | 1619775269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTRICE FLEMING Owner 629-202-1856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |