| NPI | 1811775364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONTELL WILLIAMS Owner 754-368-4073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |