| NPI | 1508556176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA DEWAN TOLBERT Owner 904-881-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |