NPI | 1417847252 |
---|---|
Entity Type | Organization |
Authorized Contact | RICARDO A BROWN President 810-701-5181 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
171400000X Health & Wellness Coach | |
175T00000X Peer Specialist | |
Enumeration Date | 2025-07-03 |
Last Update Date | 2025-07-03 |