| NPI | 1053048249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTRELL HOUSTON Owner 904-651-4951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2022-08-06 |