| NPI | 1134993645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SWAFFORD Owner 501-514-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |