| NPI | 1134048127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON CAMPBELL Owner 262-265-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-07-13 |
| Last Update Date | 2026-07-13 |