NPI | 1518773902 |
---|---|
Entity Type | Organization |
Authorized Contact | BREANA BAKER CEO/Owner 904-345-0190 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2024-12-10 |
Last Update Date | 2025-08-29 |