| NPI | 1477167252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANG ELLIOTT C.E.O./Director 682-777-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| 174200000X Meals | |
| 175T00000X Peer Specialist | |
| 177F00000X Lodging | |
| 251S00000X | |
| 253J00000X Foster Care Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2023-12-20 |