| NPI | 1548871049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHISHA JEFFERSON Owner 419-309-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |