NPI | 1831572171 |
---|---|
Other Name | LOUISIANA |
Entity Type | Organization |
Authorized Contact | ROBYN CHANTELL COLLINS Authorized Official 312-262-2739 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: IL 060011234) |
Enumeration Date | 2015-07-06 |
Last Update Date | 2022-03-07 |