| NPI | 1487424131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L BANKS CEO 175-723-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-09-05 |