NPI | 1710068226 |
---|---|
Other Name | STEPHEN DALE BALL |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 4114) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2007-07-08 |