| NPI | 1659016244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOKA D WATSON CEO 234-312-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-05-06 |