| NPI | 1295124014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVENA TWIGG President/CEO 888-688-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2022-03-21 |