| NPI | 1124704622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAIRRA WILLIAMS President 945-218-5693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 225100000X Physical Therapist | |
| 225C00000X Rehabilitation Counselor | |
| 251B00000X Case Management | |
| 251F00000X Home Infusion | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 364SP0811X Clinical Nurse Specialist Psychiatric/Mental Health, Chronically Ill | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2025-08-14 |