| NPI | 1588436562 |
|---|---|
| Doing Business As | PEDESTALS |
| Entity Type | Organization |
| Authorized Contact | CASANDRA FAYELOU CAMPBELL Executive Director 980-585-9179 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |