| NPI | 1275414427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LEATHERWOOD BOWERS Executive Director 629-215-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2026-04-26 |