| 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 |