| NPI | 1023717451 |
|---|---|
| Former Legal Business Name | GREEN MEDICAL CONSULTING |
| Entity Type | Organization |
| Authorized Contact | KENDRIA GREEN Owner 267-242-9721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |