| NPI | 1861273880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASHAWN MCDOWELL Administration 234-650-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |