| NPI | 1134057383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEEN WILSON RN 769-308-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| Enumeration Date | 2026-05-09 |
| Last Update Date | 2026-05-11 |