| NPI | 1063090058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIDA LENNON Owner 336-355-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-07-24 |