| NPI | 1669281572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JAMES Owner 251-454-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |