| NPI | 1023279478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA A ISHMAN-HOLT Owner 904-768-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |