| NPI | 1366916678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY JIMMERSON CEO 855-538-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2019-01-20 |