| NPI | 1376202051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERDINAND ATABONGAWUNG Owner 571-278-1273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |