Individual
TERRY MASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/27/2023
Last updated
07/20/2025
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