Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] | |
Case Manager/Care Coordinator |
171M00000X |
| NPI Number | 1144678608 |
| Entity | Organization |
| Organization subpart 1 | Not specified |
| Enumeration date | 05/25/2016 |
| Last updated | 05/25/2016 - About 10 years ago |
| Identifiers | n/a |
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KAITLYN KEATING
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