| NPI | 1356878789 |
|---|---|
| Former Name | DEBRA J HAMPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-07-21 |