| NPI | 1376379834 |
|---|---|
| Former Name | JONATHAN ERIC MOUNT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-10-10 |