| NPI | 1871358226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SMITH President 346-464-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2025-01-31 |