| NPI | 1073293569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY POLAKOWSKI Cofounder & Executive Director 567-331-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |