| NPI | 1265737886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD R JASMINE Owner/Member 904-662-5841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL L11000003699) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |