| NPI | 1013608264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATESHA JAMARI HARRIS-BOYD Owner And CEO 872-935-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2024-03-22 |