| NPI | 1194320739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN R BACOLA Executive Director 234-251-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-15 |