| NPI | 1235998196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON L CALLENDER General Manager 980-800-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2026-04-16 |