| NPI | 1528516507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA LYNETTE JOHNSON Owner/ Operater 904-517-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |