| NPI | 1669082756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMEON MERTYL CEO President 888-344-4549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2400X Clinic/Center, Prison Health | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 333600000X Pharmacy | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2024-02-12 |