| NPI | 1134285141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DEMETRICE MONAGAN Administrator 386-274-4172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 03125760) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |