| NPI | 1538776695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA COLLINS Owner 772-528-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |