NPI | 1053195164 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA SEISAY Owner 980-210-6520 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2023-08-21 |
Last Update Date | 2023-08-21 |