| NPI | 1992441240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVID MOSSHOLDER Program Manager/Care COO Rdinator 907-414-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |