| NPI | 1508456302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ATKINS HOLSHUE Qmhs 234-736-8425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-25 |