| NPI | 1770299729 |
|---|---|
| Former Name | MELINDA ANN BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-09-07 |