| NPI | 1881119550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI GBANGBALASA Director 615-919-3614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253J00000X Foster Care Agency (Licence: AZ 8326985) | |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |