NPI | 1700219318 |
---|---|
Former Name | ROXANNE L CASTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253J00000X Foster Care Agency (Licence: AZ 4766962) |
Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 4766962) |
Enumeration Date | 2013-08-19 |
Last Update Date | 2020-03-11 |