| NPI | 1497489322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE DALISIA JOHNSON CEO 346-815-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QB0400X Clinic/Center, Birthing | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2025-02-14 |