| NPI | 1811652944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLMEISHA HALL COO 800-935-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2022-06-09 |