| NPI | 1649051897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTAY GREGORY Owner 567-395-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |