| NPI | 1013720457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA PETERSON Chief Financial & Admin Officer 669-224-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |