| NPI | 1083303267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUANESHA SHAKIRA DRUMMOND Vice President 980-643-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |