| NPI | 1639061492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SWEIKERT Billing & Credentialing Specialist 772-220-3439 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |