| NPI | 1679490478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNETTA HENRY Manager 656-242-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-08-05 |