| NPI | 1487123451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA HOWELL-ISRAEL Managing Director 160-717-6839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 177F00000X Lodging | |
| 251300000X Local Education Agency (LEA) | |
| 251S00000X Community/Behavioral Health | |
| 305S00000X Point of Service | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |