| NPI | 1558237271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERELLE BROWNING Official Officer/ Program Director 844-364-8433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QV0200X Clinic/Center, VA | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |