| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 106E00000X Assistant Behavior Analyst |
| 101YP1600X Counselor Pastoral |
| 103TC2200X Psychologist Clinical Child & Adolescent |
| 104100000X Social Worker |
| 1041S0200X Social Worker School |
| 171W00000X Contractor |
| 225C00000X Rehabilitation Counselor |
| 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2020-08-18 |