| NPI | 1467343905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUITA WHISNANT Owner 907-331-7954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-07-24 |