| NPI | 1184209371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHAD KNOTTS Owner 980-244-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 251C00000X | |
| 251E00000X Home Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |