| NPI | 1457070435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GREEN Executive Director 267-864-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-24 |