| NPI | 1356199137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |