| NPI | 1497472195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA MCILWAIN CEO 980-230-1759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-03-20 |