| NPI | 1750116141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINE PRENTICE Owner 267-334-8997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-08 |