| NPI | 1609582220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA M URIBE Case Manager/ 833-361-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172A00000X Driver | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |