NPI | 1710536354 |
---|---|
Other Name | DARE TO BE DIFFERENT LLC |
Entity Type | Organization |
Authorized Contact | BERNICE PETTY Peer Supporter 501-313-9659 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2019-09-06 |
Last Update Date | 2022-12-12 |