| NPI | 1619732534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANE MICHELLE ST. PETER CEO, Managing Partner 877-649-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |