| NPI | 1326650318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITANY MILLER Ownwer 833-748-8371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 251S00000X Community/Behavioral Health | |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 171WH0202X Contractor, Home Modifications | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2026-04-30 |