| NPI | 1891550067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MCMULLEN Chief Operating Officer 574-876-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |