| NPI | 1629430848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENAVIAN F BURNS Member Manager 904-482-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2016-03-26 |