| NPI | 1568351740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE D BURTON Principal 929-679-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 246Z00000X Specialist/Technologist, Other | |
| 172V00000X Community Health Worker | |
| 261QC1500X Clinic/Center, Community Health | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |