| NPI | 1619341930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA INGUI Senior Credentialing Specialist 484-342-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6801092718) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |