| NPI | 1497583033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: OH 1497583033) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-08-23 |