| NPI | 1447013685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DRUMMOND Executive Director 153-039-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-02-07 |