NPI | 1144988353 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHAKI TRUITT Owner 856-524-2415 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-12-04 |
Last Update Date | 2021-12-04 |