Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] | |
Case Management |
251B00000X |
| NPI Number | 1962279042 |
| LBN Legal business name | CASS BASS HAVEN |
| Authorized official | CASSANDRA BASS-JONES - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/07/2023 |
| Last updated | 12/07/2023 - About 2 years ago |
| Identifiers | n/a |
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