| NPI | 1679469837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANETHIA MOORE CEO 794-466-2689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-25 |