| NPI | 1174300669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEONKEI GIVNER CEO 731-935-9267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 261QC1500X Clinic/Center, Community Health | |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |