| NPI | 1790156628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL LYNNETTE LEE Owner/Executive Director 270-781-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |