| NPI | 1063387082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASTLEY RHODEN Administrative Director 754-367-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |