| NPI | 1902931314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMIKA BARBOUR Qa Manager 731-664-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN 6292) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN 6295) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN 6297) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN 6293) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN 6294) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-02-05 |