| NPI | 1750013652 |
|---|---|
| Former Name | CORWIN JOHN ATADDLETY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-01-06 |