| NPI | 1053727644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER JANE CLARK Administrator 915-740-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2023-12-28 |