| NPI | 1851085765 |
|---|---|
| Former Legal Business Name | 360 SUPPORTS LLC |
| Entity Type | Organization |
| Authorized Contact | VICTOR GOMIA Program Director 703-509-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |