| NPI | 1760331573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS & LOLA POPOOLA Managing Partner 346-632-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251S00000X Community/Behavioral Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2026-01-26 |
| Last Update Date | 2026-01-26 |