NPI | 1629592340 |
---|---|
Other Name | DONTI KELLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-JLOTNC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-08-03 |
Last Update Date | 2023-07-28 |