| NPI | 1477353613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAYLA FIELDS Manager 346-422-7409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-06-09 |