| NPI | 1811608193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA FRAZIER Founder/Bod 844-945-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X |
| 251B00000X Case Management | |
| 305R00000X Preferred Provider Organization | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2022-12-08 |