| NPI | 1598410185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA G STONOM Owner 954-899-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2022-02-13 |