| NPI | 1164304499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK A BERRY President/CEO 234-525-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |