| NPI | 1780496208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEEKA D CLEMONS Owner 689-286-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |