| NPI | 1235946807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS HOCKADAY Owner 984-214-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |