| NPI | 1083898639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER Y DOZIER Co Administartor 662-329-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |