| NPI | 1679029367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIA LEMON Founder 267-243-2302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |