| NPI | 1083156533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROSTENKOWSKI Chief Operating Officer 972-590-1706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2019-07-12 |