| NPI | 1295278026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADETOKUNBO O DOUGLAS Owner 972-442-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-12-12 |