| NPI | 1528724127 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | BOLIONG AMANG Administrator 443-744-5328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |