| NPI | 1306630603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L SMITH CEO 980-243-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |