| NPI | 1629762356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKIA. JANELLE N LOCKETT. HARDIMAN Owners 531-267-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |