| NPI | 1548075310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEKA HAMILTON Executive Director 870-663-0472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |