| NPI | 1003622333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACINDA ROBINSON CEO 743-333-2374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251B00000X Case Management | |
| 253J00000X Foster Care Agency | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |