NPI | 1952199986 |
---|---|
Former Name | OLIVIA ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH10482) |
Enumeration Date | 2025-04-29 |
Last Update Date | 2025-04-29 |