NPI | 1356096945 |
---|---|
Other Name | JJS DAY PROGRAM |
Entity Type | Organization |
Authorized Contact | JOSHUA MICHAEL PENNEBAKER Owner/Director 720-400-0994 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2022-02-13 |
Last Update Date | 2022-05-19 |