| NPI | 1053020685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CAMPBELL CEO 567-290-2658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2023-07-12 |