| NPI | 1518208263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WILLIAMS Director 267-325-2693 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |