NPI | 1467821330 |
---|---|
Entity Type | Organization |
Authorized Contact | WULF THOMA Owner 337-233-0322 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA OTT200812) |
Enumeration Date | 2015-09-21 |
Last Update Date | 2015-09-21 |