| NPI | 1457063950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAQUANA CAUSEY Owner 260-602-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251S00000X | |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |