NPI | 1952825770 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL DAVIS Chief Operating Officer 800-404-3191 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2017-08-02 |
Last Update Date | 2022-07-21 |