| NPI | 1629878582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA JONES CEO 424-375-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2026-01-18 |