| NPI | 1497580070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHA MONTGOMERY Owner 740-395-7728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |