| NPI | 1811874092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND LAMAR MARSHALL Owner 984-212-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |