| NPI | 1407529514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D FERNANDES President & Founder 149-219-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171W00000X Contractor |
| 172A00000X Driver | |
| 174200000X Meals | |
| 251V00000X Voluntary or Charitable | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |