| NPI | 1053098152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE DILES Executive Director 424-242-3087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2025-05-10 |