| NPI | 1679714141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA MICHELLE JACKSON Director 334-281-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: AL 06922) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |