NPI | 1255844601 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE BLACKSTOCK Case Manager/Care Coordinator 267-975-8965 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2017-11-08 |
Last Update Date | 2017-11-08 |