NPI | 1306182910 |
---|---|
Entity Type | Organization |
Authorized Contact | ROMAN CRUZ Owner 208-313-0711 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2012-12-31 |
Last Update Date | 2012-12-31 |