NPI | 1780117044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX 374U00000X) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |