| NPI | 1184415622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA PHYLLIS WASEK Owner 385-272-4292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |