| NPI | 1235995580 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NATASHA LACHINE FULLER Chief Executive Officer (CEO) 682-277-9994 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251B00000X Case Management | 
| Additional Taxonomies | 175T00000X Peer Specialist | 
| Enumeration Date | 2024-02-26 | 
| Last Update Date | 2025-04-14 |