| NPI | 1578108643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL GERISE OHMAN Executive Director 906-786-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |