| NPI | 1336686062 |
|---|---|
| Other Name | ASSUREDLINK CASE MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS KING Therapist/Owner 270-303-4669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: KY 171431) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 171431) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-03-02 |