NPI | 1700953197 |
---|---|
Other Name | NELLIE ANDERSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 10031) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2007-07-08 |