| NPI | 1326910456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNETTE SPRUILL Executive Director 424-367-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| 253J00000X Foster Care Agency | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |