NPI | 1144013988 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY ANNE CREWS Owner 743-444-0938 |
Organization Subpart ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-05-24 |
Last Update Date | 2025-05-24 |