| NPI | 1104578087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LATISHA CLARKE CEO 689-312-5974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2023-10-22 |