| NPI | 1770443590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ABOSEDE OLABODE President 256-348-5648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251S00000X Community/Behavioral Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-11-14 |