NPI | 1164704748 |
---|---|
Former Name | AMIE HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2011-09-09 |
Last Update Date | 2011-09-09 |