| NPI | 1780231522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNE DIAMONE SCHACHERE Chief Of Services 800-524-4827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2022-11-16 |