| NPI | 1033828371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL POWELL ROSS CEO 346-202-4972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-26 |