NPI | 1649505215 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNETTE OK HEE STAHULJAK Executive Director 866-236-2411 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
251C00000X Day Training, Developmentally Disabled Services | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2009-10-14 |
Last Update Date | 2009-10-14 |