| NPI | 1134470784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BIGGS BULLOCK Project Manager/Owner 877-573-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: PA 171M00000X) |
| Enumeration Date | 2012-09-23 |
| Last Update Date | 2012-09-23 |