| NPI | 1790558971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUDUYEMI SAGAY Administrator 347-603-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |