| NPI | 1336292887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN-MARIE LEWIS Billing Manager 339-883-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2023-02-07 |