| NPI | 1912670464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NOLAN CEO 855-832-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2024-07-12 |