| NPI | 1972918860 |
|---|---|
| Former Name | MICHELE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 101YM0800X) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |