| NPI | 1205659133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYLETA FOSTER Director 862-253-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 251X00000X Supports Brokerage | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-12 |