NPI | 1528292521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CO 116600) |
Enumeration Date | 2009-05-06 |
Last Update Date | 2009-05-06 |