| NPI | 1679254049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA IRENE WOOTEN Owner 469-235-5443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 102X00000X Poetry Therapist |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |