| NPI | 1841089943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINI MOHAMED Co Owner 502-654-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |