| NPI | 1649076282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK DRYER Director Of Development 833-263-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-07-29 |