| NPI | 1679381214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER REED CEO 424-262-6519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-06-25 |