| NPI | 1710123906 |
|---|---|
| Doing Business As | PH-TCM (BABIES 1ST/CACOON) |
| Entity Type | Organization |
| Authorized Contact | LESA WAGNER Credentialing Specialist 541-265-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2024-10-31 |