| NPI | 1700622453 |
|---|---|
| Former Legal Business Name | BLYTHE PROJECT LLC |
| Entity Type | Organization |
| Authorized Contact | DENNIS MATTHEWS Manager Partner 949-394-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 101Y00000X Counselor |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QV0200X Clinic/Center, VA | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |