NPI | 1942065602 |
---|---|
Entity Type | Organization |
Authorized Contact | JAWANA BROWN-WILLIAMS Owner 850-759-1262 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-02-20 |
Last Update Date | 2024-02-20 |