| NPI | 1174642458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOHNSON Executive Director 1620-792-1321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-05-28 |