NPI | 1699667626 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGIL LAMONT HUGHES Founder/President 980-361-0514 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
251V00000X Voluntary or Charitable | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2025-07-15 |
Last Update Date | 2025-07-17 |