| NPI | 1104131457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANINIA DEAMER-SMITH Executive Director 980-201-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2026-08-12 |