NPI | 1578796371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CT 001883) |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: MA 8902) |
Enumeration Date | 2009-08-26 |
Last Update Date | 2009-08-26 |