| NPI | 1427412741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BENJAMIN TREFFERT Owner 262-880-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CO 1-16-21385) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2017-01-18 |