NPI | 1255032496 |
---|---|
Entity Type | Organization |
Authorized Contact | TUANQUILLA MONTESSA THOMPSON Founder, Director 262-672-1501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-03-14 |
Last Update Date | 2023-03-14 |