| NPI | 1891627782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDORAH K CRUZ Owner 999-999-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251B00000X Case Management | |
| Enumeration Date | 2026-06-02 |
| Last Update Date | 2026-07-02 |