| NPI | 1821241225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDELL JASPER Owner 980-229-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2012-07-20 |