| NPI | 1518661990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DA'JA DOUGLAS CEO/Owner 901-765-7938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |