| NPI | 1821730615 | 
|---|---|
| Former Legal Business Name | NATIONSERV, LLC | 
| Entity Type | Organization | 
| Authorized Contact | RENAE JOHNSON CEO & President 832-847-7027 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2022-04-12 | 
| Last Update Date | 2022-04-12 |