| NPI | 1346791233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA HIGGINS Agency Director 681-298-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WV 2332-7471) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |