| NPI | 1285285973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONCHELLE DENISE DAVIS CEO/Habilitation Specialist 260-310-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2022-04-13 |