| NPI | 1063982148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENZENIA D DRAKE Owner 267-626-7361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2019-01-09 |