NPI | 1083191662 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA BROOKS Executive Director 173-280-1453 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable |
Additional Taxonomies | 251300000X Local Education Agency (LEA) |
251B00000X Case Management | |
261QC1500X Clinic/Center, Community Health | |
261QD1600X Clinic/Center, Developmental Disabilities | |
261QP0905X Clinic/Center, Public Health, State or Local | |
Enumeration Date | 2018-07-25 |
Last Update Date | 2018-07-25 |