| NPI | 1447046305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TE'AIRA N MALLORY Owner 937-422-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| 385H00000X Respite Care | |
| 251S00000X Community/Behavioral Health | |
| 372600000X Adult Companion | |
| 251J00000X Nursing Care | |
| 251E00000X Home Health | |
| 372500000X Chore Provider | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251B00000X Case Management | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 347C00000X Private Vehicle | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-12-12 |