| NPI | 1154118792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASAN ABDUSHAHID Chief Executive Officer 980-369-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 101YM0800X Counselor, Mental Health | |
| 251X00000X Supports Brokerage | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-11-09 |