| NPI | 1780221903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RAMIREZ Chief Administrative Officer 386-225-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |