| NPI | 1548072101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTY ROBERT MOORE Executive Director 424-485-6684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 1744G0900X Specialist, Graphics Designer | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 251X00000X Supports Brokerage | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-02-17 |