| NPI | 1114087376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY SMITH Program Manager 386-446-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 673639496) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-04-15 |