| NPI | 1083181846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CLARKE-SMITH Manager 800-516-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2019-12-10 |