| NPI | 1093468274 |
|---|---|
| Doing Business As | MAJOR IMPACT SUPPORT SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | CLAYTON LAMBERT MAJOR Owner 239-226-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |