| NPI | 1194525139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKEDA STANBACK CEO 267-574-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |