| NPI | 1922984442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN JACKSON President 443-570-1402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-15 |