NPI | 1932800653 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 172V00000X Community Health Worker |
175T00000X Peer Specialist | |
Enumeration Date | 2023-03-10 |
Last Update Date | 2024-05-16 |