| NPI | 1093304156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DOLGE Executive Director 336-904-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |