| NPI | 1700746823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDUNUOLUWA DELIGHT EBENEZER Director 346-280-5724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |