| NPI | 1598635104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERICO BEOWN Owner 872-352-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-11-08 |
| Last Update Date | 2025-11-08 |