| NPI | 1740881911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE GUSTA-GARRETT Owner 228-641-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2021-09-23 |