NPI | 1336863117 |
---|---|
Entity Type | Organization |
Authorized Contact | JASMINE HEFFNEY CEO 980-219-1589 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251E00000X Home Health |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2022-09-27 |
Last Update Date | 2023-08-29 |