| NPI | 1760934046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE BRADFORD Managing Director 662-647-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |