| NPI | 1063209682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-25 |