| NPI | 1689322182 |
|---|---|
| Other Name | PETER MART |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2023-08-07 |