| NPI | 1881070365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHIU T KNOX Manager 662-520-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |