NPI | 1003477456 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEY LYNN MULLINS Owner 346-288-0085 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 251B00000X Case Management |
251C00000X Day Training, Developmentally Disabled Services | |
251S00000X Community/Behavioral Health | |
253Z00000X In Home Supportive Care | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2019-06-26 |
Last Update Date | 2019-06-26 |