| NPI | 1164528386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTINE MCCORMACK President 1888-332-0204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: UT 001) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-07-21 |