NPI | 1598300493 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT PLOWDEN Director 772-353-9132 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
251S00000X | |
Enumeration Date | 2019-11-14 |
Last Update Date | 2022-10-17 |