| NPI | 1376423400 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEASIA BOMORT Owner 863-738-9493 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist | 
| Additional Taxonomies | 172A00000X Driver | 
| Enumeration Date | 2025-09-08 | 
| Last Update Date | 2025-09-08 |