| NPI | 1033305032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERVIN LEROY HENDERSON President 386-574-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL Foster Care) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |