| NPI | 1295303006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROD NICHOLS Presidient 872-276-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |