NPI | 1811021090 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN JAMES LOVELADY State Director 862-284-4565 |
Organization Subpart ? | No |
Primary Taxonomy | 253J00000X Foster Care Agency |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MA 1615) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2025-08-21 |