| NPI | 1144917972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHAPPELL Owner 234-246-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| 175T00000X Peer Specialist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-11-22 |