| NPI | 1144108697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIIA GRANT CEO 424-446-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 225800000X Recreation Therapist | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-22 |