| NPI | 1295590719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS SMITH CEO 267-240-1179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 163WA2000X Registered Nurse, Administrator | |
| 163WC0400X Registered Nurse, Case Management | |
| 163WC1500X Registered Nurse, Community Health | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development | |
| 163WH0200X Registered Nurse, Home Health | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 163WR0400X Registered Nurse, Rehabilitation | |
| 164W00000X Licensed Practical Nurse | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |