NPI | 1942489059 |
---|---|
Entity Type | Organization |
Authorized Contact | LATOYA J MCCUTCHEON Program Administrator 251-802-8241 |
Organization Subpart ? | No |
Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AL 080310) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2007-10-25 |