| NPI | 1336584085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI LARSEN Case Manger 385-468-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT 57480656-3503) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-13 |