| NPI | 1225510902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RENEE JOHNSON Asst Dir Of Patient Accounting 872-588-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-07-01 |