| NPI | 1700502630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRIKA S JACKSON Agency Owner/ Director Of Operation 567-277-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |