NPI | 1649967381 |
---|---|
Entity Type | Organization |
Authorized Contact | JASMINE N HENRY CEO 708-821-9642 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
251S00000X | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2023-04-21 |
Last Update Date | 2023-04-21 |