| NPI | 1902429772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARANDA DAVIS DAVIS President 980-200-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2023-09-11 |