| NPI | 1124231790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTI S BALLMER-PITTMAN Administrator 915-544-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |