| NPI | 1639833197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR MEDINA CEO 844-737-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251X00000X Supports Brokerage | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 332U00000X Home Delivered Meals | |
| 3747A0650X Technician Attendant Care Provider | |
| 3747P1801X Technician Personal Care Attendant | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |