| NPI | 1306360029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEYOUN GARCIA MCCOMBS Owner 980-444-8174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 251E00000X Home Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-01-14 |