NPI | 1477434470 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
261QA0600X Clinic/Center, Adult Day Care | |
373H00000X Day Training/Habilitation Specialist | |
Enumeration Date | 2025-09-08 |
Last Update Date | 2025-09-08 |