NPI | 1760275085 |
---|---|
Entity Type | Organization |
Authorized Contact | GIBRILLA BARRIE Business Owner 774-522-8825 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2025-05-28 |
Last Update Date | 2025-05-28 |