| NPI | 1063262376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD E FOX CEO 567-224-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-11-06 |