| NPI | 1306630124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARA BOOKER Operator 862-306-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-09-08 |