| NPI | 1902765738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRECIOUS O MAKINDE Managing Member 862-436-6929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-01-19 |
| Last Update Date | 2026-01-19 |