| NPI | 1245929108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENISHA ROTIBI Owner 972-890-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-05 |