| NPI | 1881890606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PROMOD BISHNOI Executive Director 606-886-8572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-07-29 |