| NPI | 1376377804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIS NGANGLUNG CEO 945-946-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251F00000X Home Infusion | |
| 251K00000X Public Health or Welfare | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QP2400X Clinic/Center Prison Health | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-09-08 |