| NPI | 1023335890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI PAXTON Owner 877-393-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2026-05-04 |