| NPI | 1114522000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HAYES CFO 888-975-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |