| NPI | 1639625387 |
|---|---|
| Other Name | RYAN E. VIGH |
| Entity Type | Organization |
| Authorized Contact | RYAN E. VIGH Owner 508-507-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO NLC.0104613) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: CO NLC.0104613) |
| 251B00000X Case Management (Licence: CO NLC.0104613) | |
| 251K00000X Public Health or Welfare (Licence: CO NLC.0104613) | |
| 252Y00000X Early Intervention Provider Agency (Licence: CO NLC.0104613) | |
| 347C00000X Private Vehicle (Licence: CO NLC.0104613) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |