| NPI | 1881396141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERATE NGWASHI MUNGU CEO 302-897-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |