| NPI | 1972077360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN BOBAY Chief Compliance Officer 260-207-5604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-02-21 |