| NPI | 1134343627 |
|---|---|
| Other Name | INDIVIDUAL SUPPORT SERVICES |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SCOTT DOTSON Controller Vice President Finance 410-381-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-07-15 |