| NPI | 1295663045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMERE D TODD Owner / Authorized Official 980-414-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-05-12 |