| NPI | 1720917743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BOGAN Member/Owner 774-319-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-05-15 |
| Last Update Date | 2026-05-15 |