| NPI | 1023138161 |
|---|---|
| Other Name | FREIDA WELLMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 177F00000X Lodging (Licence: NC MHL098077) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-06-10 |