NPI | 1124901350 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSIE L LACY Owner/Administrator 870-377-4852 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-07-28 |
Last Update Date | 2025-07-28 |