| NPI | 1588402168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA SMITH CEO 877-692-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-08-17 |