| NPI | 1184387722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA R BURGESS Owner 904-803-6857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-10-20 |