NPI | 1871136952 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY FOXX Owner 704-621-9545 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
343900000X Non-emergency Medical Transport (VAN) | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
175T00000X Peer Specialist | |
Enumeration Date | 2019-10-22 |
Last Update Date | 2025-09-06 |