| NPI | 1417645920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD EVANS Owner 985-956-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-28 |