| NPI | 1841133774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ISENBERG Owner 270-784-5223 |
| 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 | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-04-14 |
| Last Update Date | 2026-04-14 |