| NPI | 1568280154 |
|---|---|
| Other Name | ESTHER ROSS |
| Entity Type | Organization |
| Authorized Contact | ESTHER LARAYNE ROSS Owner 947-517-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-11-14 |