NPI | 1154800472 |
---|---|
Entity Type | Organization |
Authorized Contact | TOMIKA MCFADDEN CEO 267-405-2173 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: PA 103064470002) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2018-08-08 |