NPI | 1851933493 |
---|---|
Other Name | NATASHA JOSEPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 236302) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 103) |
Enumeration Date | 2019-10-15 |
Last Update Date | 2020-05-15 |