| NPI | 1699341073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA GERTRUDE WILMORE-NOZIL Owner 571-316-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2022-12-14 |