| NPI | 1306671144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A RAIKE Administrator 733-223-3389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |