NPI | 1366916181 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIFFORD SMITH COO 888-391-1117 |
Organization Subpart ? | No |
Primary Taxonomy | 251X00000X Supports Brokerage |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2019-01-15 |
Last Update Date | 2023-06-12 |