| NPI | 1619581915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LAKIESHA WILLIAMS Chief Executive Officer 567-742-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2021-10-29 |