| NPI | 1831628585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA STEWART Director 501-707-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |