| NPI | 1962592444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN SKOKAN C E O 641-791-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |