| NPI | 1295424521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L CRAWFORD Owner 740-703-0729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 251B00000X Case Management | |
| 253J00000X Foster Care Agency | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-08-31 |