| NPI | 1881217479 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHELSIE VONNE HENDERSON Owner 765-967-3278 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 385H00000X Respite Care | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 104100000X Social Worker | |
| Enumeration Date | 2020-05-18 | 
| Last Update Date | 2020-05-18 |