| NPI | 1154066447 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | CALVIN SMITH Owner/President 888-213-5103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2024-09-19 |