NPI | 1922733013 |
---|---|
Entity Type | Organization |
Authorized Contact | QUENITA TAYLOR Owner 901-585-7545 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Additional Taxonomies | 172A00000X Driver |
172V00000X Community Health Worker | |
251E00000X Home Health | |
251S00000X | |
253Z00000X In Home Supportive Care | |
261QC1500X Clinic/Center, Community Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
372500000X Chore Provider | |
Enumeration Date | 2022-07-21 |
Last Update Date | 2022-07-21 |