| NPI | 1154900397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC HAMAZH CRAWFORD Director 862-256-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |