| NPI | 1073345245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS D CRAWFORD Healthcare Navigator 458-488-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-27 |