| NPI | 1942691274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDELL JASPER Clinical Director 980-229-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |