NPI | 1811623572 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE EDWARDS Owner 305-901-9815 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 104100000X Social Worker |
106S00000X Behavior Technician | |
101Y00000X Counselor | |
174200000X | |
251B00000X Case Management | |
253Z00000X In Home Supportive Care | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
343900000X Non-emergency Medical Transport (VAN) | |
374U00000X Home Health Aide | |
Enumeration Date | 2022-07-26 |
Last Update Date | 2022-08-23 |