| NPI | 1649886896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUE RUDOLPH STANSBERRY Supportive Services/Program Develop 125-208-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |