| NPI | 1881484095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANS AFRIYIE Director/Owner 820-288-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |