| NPI | 1841079274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWASEUN OYINKOLADE Director 667-273-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |