| NPI | 1063280501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA CRAWFORD Owner 334-560-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-15 |