| NPI | 1396135158 |
|---|---|
| Former Name | JOY L PENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MD 47-2839907) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |