| NPI | 1740870005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE MAYO Owner 469-510-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2022-10-24 |