| NPI | 1487969184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CAROL MASSEY Owner 1918-423-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |