| NPI | 1518390244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE M AIKEN Director 866-591-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2020-11-03 |