| NPI | 1205596723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NUESTRO Executive Director 725-300-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2023-07-26 |