NPI | 1073216578 |
---|---|
Entity Type | Organization |
Authorized Contact | ANITA JOY HUFFAKER ETHELL Business Owner 971-719-8132 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-03-23 |
Last Update Date | 2023-05-08 |