| NPI | 1881113470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY NEKO BENFORD Director 254-498-9361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 174200000X Meals |
| 251V00000X Voluntary or Charitable | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2024-03-07 |