NPI | 1063745875 |
---|---|
Other Name | ELAINE AXELMAN BROUDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA PS00608L) |
Enumeration Date | 2009-09-11 |
Last Update Date | 2009-09-11 |