| NPI | 1750241808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL WISE Doo 330-472-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |