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 |