| NPI | 1760196711 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | QUENDAISIA LAKAVIOUS WESTON Director 725-218-6129  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 251B00000X Case Management | 
| 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 Services | |
| 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) | |
| Enumeration Date | 2023-01-12 | 
| Last Update Date | 2023-02-13 |