| NPI | 1982292199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TRAVIS CEO 866-413-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2023-07-27 |