| NPI | 1871033605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D WEEMS Owner/President 772-828-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |