| NPI | 1528579646 |
|---|---|
| Former Name | AARON NELSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 22QMHAI003519) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 17-CRM-130) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2023-11-15 |