| NPI | 1891012308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHAEL D. ACHINIVU Billing Specialist 888-696-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AZ 4196130) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2011-07-02 |