| NPI | 1700585155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKARIA BEN-ADAM Owner 267-324-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Additional Taxonomies | 177F00000X Lodging |
| 261QP2400X Clinic/Center, Prison Health | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |