| NPI | 1114709409 |
|---|---|
| Other Name | CITCA |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HARRIS STEVENSON Executive Director 866-500-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171400000X |
| 174H00000X Health Educator | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-12-11 |