| NPI | 1952113458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE PARTEE Senior Pastor/CEO 669-270-9369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |