| NPI | 1902740665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL SERENITY WISE Doo 330-472-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |