| NPI | 1174380463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA DENISE KING President 612-408-9084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 171400000X Health & Wellness Coach | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |