NPI | 1821759416 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANTILLA LYNN HAIRSTON Owner An Servicer 276-340-1044 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-01-05 |