| NPI | 1982562427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TAWANDA BROWN GAINES G/I Deputy Police Officer At Law 870-540-9476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2026-01-13 |
| Last Update Date | 2026-08-21 |