NPI | 1104669100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385H00000X Respite Care |
Additional Taxonomies | 385HR2050X Respite Care, Respite Care Camp |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-08-02 |