| NPI | 1083331177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OLANDIS SCALES Owner 252-226-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251E00000X Home Health | |
| 101YM0800X Counselor, Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2025-12-23 |