| NPI | 1720618523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN OBI CEO 862-216-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251X00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-22 |