NPI | 1699924753 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NY 1260712) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2008-09-14 |
Last Update Date | 2008-10-12 |