| NPI | 1437906716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MORRISSETTE Manager 838-774-8967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |