NPI | 1811388341 |
---|---|
Entity Type | Organization |
Authorized Contact | DOMENICK BRACCIA Owner Operator 267-664-0828 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
261QD1600X Clinic/Center, Developmental Disabilities | |
332U00000X Home Delivered Meals | |
343900000X Non-emergency Medical Transport (VAN) | |
373H00000X Day Training/Habilitation Specialist | |
Enumeration Date | 2015-02-05 |
Last Update Date | 2015-09-15 |