| NPI | 1023553120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN M WOAZEAH Director 980-333-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management (Licence: NV c20140602-3979) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |