| 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 |