| NPI | 1952290744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLY ERIN DAVENPORT Doo 330-933-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2025-06-28 |
| Last Update Date | 2025-06-28 |