| NPI | 1760109391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAQUINDRA HALL Owner And Founder 915-240-5618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251G00000X Hospice Care, Community Based | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |