| NPI | 1326989237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY'SHAWN DA'SANI PEYTON GLASS Administrator 380-900-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2026-04-03 |
| Last Update Date | 2026-04-28 |