| NPI | 1871291351 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | QUANESHA S DRUMMOND CEO 980-643-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |