| NPI | 1164976700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARDAI GREEN Member LLC 215-528-2926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |