NPI | 1326761651 |
---|---|
Former Legal Business Name | WOMEN AT YOUR SIDE AND COMMUNITY SERVICES LLC |
Entity Type | Organization |
Authorized Contact | VERNELL MACKIE Co Owner 862-704-4829 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 347C00000X Private Vehicle |
Enumeration Date | 2022-09-21 |
Last Update Date | 2022-09-21 |