NPI | 1972373793 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMISHA MANN CEO 424-420-1441 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 251J00000X Nursing Care |
251S00000X Community/Behavioral Health | |
253Z00000X In Home Supportive Care | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center Adult Mental Health | |
Enumeration Date | 2024-01-03 |
Last Update Date | 2024-01-03 |