| NPI | 1760246540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMCIKO BRODUS Owner 863-812-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |