| NPI | 1871079947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEY J BURGESS Member /Owner 606-393-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |