| NPI | 1003789827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERRA GREEN CEO 800-820-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-10-29 |