NPI | 1356194732 |
---|---|
Former Legal Business Name | STONESOUP HRC |
Entity Type | Organization |
Authorized Contact | MATTHEW PETERSON Executive Director 541-231-5597 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-04-11 |