| NPI | 1295687010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNTE LANE Owner/Provider 904-803-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-02-12 |
| Last Update Date | 2026-02-12 |