| NPI | 1407671159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILLEROY TAH Administrator/Don 508-816-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |