| NPI | 1548614597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NSIKAKABASI E EDET Owner 317-514-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |