NPI | 1073398079 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUISE BROOKS-HAMILTON Director 469-584-0824 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 172V00000X Community Health Worker |
251B00000X Case Management | |
251E00000X Home Health | |
Enumeration Date | 2023-08-28 |
Last Update Date | 2025-03-14 |