A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Community Based Residential Treatment Facility, Mental Illness |
320800000X | |||
Non-emergency Medical Transport (VAN) |
343900000X |
| NPI # | 1760961734 |
| Entity | Organization |
| Organization subpart 1 | Not specified |
| Enumeration date | 08/10/2018 |
| Last updated | 03/16/2021 - About 5 years ago |
| Identifiers | n/a |
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SHARION L WHITE
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