| NPI | 1871761312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SICKLES Ses Manager 304-848-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: WV 3502004000) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |