NPI | 1174702641 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA ANN JOHNSON Office Manager 5046-155-3470 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA 6255) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2007-11-06 |