| NPI | 1326794470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINA SANGODEYI Prpgram Director 346-316-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2024-03-19 |