| NPI | 1710630702 |
|---|---|
| Other Name | T&K TRANSITIONAL HOUSING AND RESIDENTIAL SERVICE |
| Entity Type | Organization |
| Authorized Contact | THOMAS C JACKSON Director 256-585-0486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |