| NPI | 1265078695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT BARDALES Chief Operating Officer 855-266-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |