| NPI | 1821308669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN D. ROGERS Operations Administrator 251-649-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |