| NPI | 1437622453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER C MEYER Owner 218-999-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-04-25 |