| NPI | 1710518303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMILYN J SAYAVONG Administrator 907-885-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-02-01 |