| NPI | 1356160519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA N EATON CEO 866-854-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251X00000X | |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 332U00000X Home Delivered Meals | |
| 342000000X Transportation Network Company | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2024-10-05 |
| Last Update Date | 2024-10-08 |