| NPI | 1508341371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER NICOLE GREEN Reimbusement Services 217-420-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |