| NPI | 1497825681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL R COKER Vice President 765-825-5643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |