| NPI | 1699580704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE ANAIS JOHNSON COO 620-641-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |