| NPI | 1508161399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEISHA JACKSON Owner 469-337-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA 40166180k) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |