| NPI | 1659134922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBYE GILLESPIE Director 346-264-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-09-17 |