| NPI | 1912688664 |
|---|---|
| Doing Business As | IDA MAEZ DAY SUPPORT |
| Entity Type | Organization |
| Authorized Contact | DONISE ANDERSON CEO 757-771-9879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |