| NPI | 1871326421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLBY BLEYS CHRISTIAN JENSEN-HANSEN Qmha 541-451-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |