| NPI | 1639053689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUTITA DEASON Owner/Manager 833-323-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 405300000X Prevention Professional |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |