| NPI | 1154864072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNEA W SCOTT CEO 800-857-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2025-02-19 |