| NPI | 1760196711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENDAISIA LAKAVIOUS WESTON Director 725-218-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 174200000X Meals | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center Community Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QR0800X Clinic/Center Recovery Care | |
| 385H00000X Respite Care | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-02-13 |