| NPI | 1861932097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB KABAMBA Owner/ CEO 203-545-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4983) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |