| NPI | 1134613540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWINNA SEAN HARRIS Owner/Operator 904-258-0489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |