| NPI | 1306633128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAI BURRELL Owner 571-309-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-23 |