| NPI | 1881852663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNIE DAVID COLBERT SR. President 907-978-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: AK HC7641) |
| 347C00000X Private Vehicle (Licence: AK HC7641) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AK HC7641) | |
| 251B00000X Case Management (Licence: AK CMG764) | |
| 251B00000X Case Management (Licence: AK CM7641) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2014-07-28 |