| NPI | 1114345121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCRETIA RENE VAUGHN Program Director 270-789-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-12-02 |