| NPI | 1467838078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY KELLAM-PRITCHETT Registered Nurse/Owner 276-806-9562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |