| NPI | 1265111017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL NICKERSON Owner 863-440-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |