| NPI | 1780399766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUKAYODE AKINKUNLE Operating Director 551-795-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-20 |