| NPI | 1033901624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH UKWENYA Program Director 346-583-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management | |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-10-10 |