| NPI | 1104772235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHALISE MORRIS Owner 567-249-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 177F00000X Lodging |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 101YM0800X Counselor, Mental Health | |
| 174200000X Meals | |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-03-10 |