| NPI | 1164301032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE COFFMAN Executive Director 270-256-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |