| NPI | 1942901400 |
|---|---|
| Doing Business As | ANTHONY'S VILLA |
| Entity Type | Organization |
| Authorized Contact | ANTHONY CAMPBELL CEO 567-290-2658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-05-21 |