NPI | 1821623406 |
---|---|
Doing Business As | THE HOUSE OF JIREH II |
Entity Type | Organization |
Authorized Contact | ARTRINA MATTHEWS Executive Director 251-209-9497 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-03-04 |