| NPI | 1710849468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA LOPEZ CEO 424-210-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251G00000X Hospice Care, Community Based | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2026-09-19 |