| NPI | 1700698321 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JACQUELINE MCLEELAND President & Chief Executive 346-241-0880 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 172V00000X Community Health Worker | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2025-01-21 | 
| Last Update Date | 2025-01-21 |