| NPI | 1417262924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVENA TWIGG President/CEO 888-202-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2024-01-26 |