| NPI | 1760275085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIBRILLA BARRIE Business Owner 774-522-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |