| NPI | 1720692833 |
|---|---|
| Former Legal Business Name | TGH PHASE II |
| Entity Type | Organization |
| Authorized Contact | TAJUANA GREENARD HOOKER President 980-643-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2023-02-27 |