| NPI | 1952996530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMISHA FORD Mentor 304-982-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 174H00000X Health Educator | |
| 251B00000X Case Management | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-21 |