| NPI | 1144194036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GRANTIER Direct Support Professional 907-787-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |