NPI | 1508691965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2024-09-05 |
Last Update Date | 2024-09-05 |