| 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 |