| NPI | 1235995580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FULLER Chief Experience Officer (C Ex O) 682-277-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-09-30 |