| NPI | 1801592746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TY'BREECE TUCKER Director/Owner 661-544-6213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-09-06 |