| NPI | 1942897780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SHARLOW CEO 567-686-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |