| NPI | 1679388052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NE H14438617) |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-13 |