| NPI | 1285227330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINSEY NICOLE SINGLETON Owner 253-224-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-08-05 |