| NPI | 1801520622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANNICK NDAYISENGA CEO 607-232-0419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2022-07-16 |