| NPI | 1891540639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLESHA CRAWLEY CEO 234-201-0907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-30 |