NPI | 1013450964 |
---|---|
Entity Type | Organization |
Authorized Contact | LATOYA MCLEOD Support Coordinator 423-400-0107 |
Organization Subpart ? | No |
Primary Taxonomy | 347C00000X Private Vehicle |
Additional Taxonomies | 251B00000X Case Management |
251S00000X | |
253Z00000X In Home Supportive Care | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2016-11-27 |
Last Update Date | 2016-11-27 |