| NPI | 1811767296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTA COPPAGE Executive Director 872-209-1298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |