| NPI | 1326275769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY MILES Finance Director 888-326-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 172A00000X Driver |
| 221700000X Art Therapist | |
| 222Q00000X Developmental Therapist | |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| 247000000X Technician, Health Information | |
| 251S00000X Community/Behavioral Health | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QV0200X Clinic/Center, VA | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |