| NPI | 1366390809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA VILLALOBOS Community Service Worker I 442-265-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-03-19 |