| NPI | 1013532266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY SHANE FALWELL Founder/CEO 484-840-6929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2020-06-13 |