| NPI | 1396676961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON NICHOLS CEO/Qualified Professional 980-229-1269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2026-05-25 |
| Last Update Date | 2026-05-25 |