NPI | 1902470487 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE SHANTEA DUPREE Director 862-236-0456 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251300000X Local Education Agency (LEA) |
251C00000X Day Training, Developmentally Disabled Services | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2021-05-18 |
Last Update Date | 2021-05-18 |