| NPI | 1710599154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAUNESIA DAVIS Founder 219-512-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251S00000X |
| 251V00000X Voluntary or Charitable | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-07-27 |