| NPI | 1942763685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA CHECO Executive Director 089-249-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |