| NPI | 1225909864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA J LAWRENCE Founder/Executive Director 980-553-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |