| NPI | 1396550901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKIA PETERSON Owner 267-235-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |