| NPI | 1669153722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBINNA UGWU Member 440-212-1083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |