| NPI | 1275388092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PLOWDEN Director/Owner 772-353-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-27 |