| NPI | 1487184511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE CORLEY JONES CEO 888-763-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 8698) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH8698) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-12-09 |