| NPI | 1669298436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORENDA DURR CEO 980-858-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 261QC1500X Clinic/Center, Community Health | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |