| NPI | 1205754033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARRIELLE UPCHURCH Owner 984-383-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |