| NPI | 1730906488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNAMDI OFODIKE Director 346-441-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2025-10-23 |