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, Psych/Mental Health, Child & Adolescent | |
163WP0809X Registered Nurse, Psych/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 |