| NPI | 1154669679 |
|---|---|
| Former Name | LOREN BETH BELOVSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OR M4848) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |