| NPI | 1689117327 |
|---|---|
| Doing Business As | BORN FOR NIA MATERNITY HOME |
| Entity Type | Organization |
| Authorized Contact | DRETONA TENESE MADDOX Executive Director 909-471-0697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2021-08-11 |