| NPI | 1508545625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTAL MTAZA Executive Director 346-500-4614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |