| NPI | 1992484018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL NORAH Owner 262-900-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 405300000X Prevention Professional |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |