| NPI | 1801532429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA HERNANDEZ GANTI Executive Director 539-589-0435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2026-04-29 |