NPI | 1689144750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251B00000X Case Management | |
Enumeration Date | 2018-11-30 |
Last Update Date | 2018-12-27 |