| NPI | 1972817096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELL COFFY WRIGHT Co Founder 857-756-5682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 251S00000X) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |