| NPI | 1811670243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYLAH C WILSON President 302-685-7891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |