| NPI | 1164371886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RIDDICK Executive Director 948-529-1081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-01-26 |
| Last Update Date | 2026-01-26 |