| NPI | 1104649839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YES I CAN OF OR LLC CEO 718-123-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |