| NPI | 1619854122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI EDWARDS CEO 251-202-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |