| NPI | 1568850220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA RODGERS CEO 2522179717-196-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |