| NPI | 1659410686 |
|---|---|
| Former Name | JAMES LEE WOLFE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 11-CRM-134) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-12-20 |