| NPI | 1487312401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIA KELLEY-FREEMAN CEO 800-867-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |