| NPI | 1003090317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RGINA LYNN JACKSON Owner 318-324-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA 10403) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2017-04-28 |