| NPI | 1922557685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUELLA MARIE VALME President/CEO 877-407-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |