NPI | 1013054154 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG SHAVER CEO 618-533-4423 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2007-01-30 |
Last Update Date | 2015-12-03 |