| 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 |