| NPI | 1831077817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN HOUSTON CEO 662-592-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |