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 |