NPI | 1861067902 |
---|---|
Entity Type | Organization |
Authorized Contact | PRUDENCIA DEBA C.E.O. 346-400-6008 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-05-21 |
Last Update Date | 2021-05-21 |