| NPI | 1841152428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TEJAS CALLAHAM CEO 571-498-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 251E00000X Home Health | |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2026-01-13 |