| NPI | 1972339554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 2026029586) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2026-07-27 |