| NPI | 1528891983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH STEVENS Owner 772-708-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |